Organization · Type 2 NPI

I-Wave

Substance Abuse Rehabilitation Facility · St. Louis, MO

NPI number 1467005744 Active

Practice location

10995 Chase Park Ln Apt C
St. Louis, MO 63141-5787

Call (314) 441-9488 Map

Fax (844) 378-5562

Mailing address

PO Box 410708
St. Louis, MO 63141-0708

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Mental Illness Intermediate Care Facility 310500000XNone listed
Skilled Nursing Facility 314000000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Other substance abuse rehabilitation facility providers in St. Louis

See all in St. Louis →

About NPI 1467005744

I-Wave's National Provider Identifier is 1467005744, issued on Jul 16, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 16, 2019.